No photos for this one, but "Parental Discretion is Advised":
Above the gurney where my friend rests uneasily, there is a wall calendar. It depicts a royal blue sky with wisps of white clouds, a green field dotted with yellow flowers, and three perky, smiling nurses in immaculate white garb. The title reads, in English: "Nature and Harmonious Goodwill for Life." My friend is lying under a heap of quilts. Nurses in dark green scrubs cruise in and out at intervals to hook up a heart monitor, do an allergy test, listen to her breath sounds. Right outside the door, a young woman on another gurney wails and whimpers in pain from a broken leg. My friend observes that it sounds like the girl is giving birth. A man pokes his head in the door and gazes around; after he leaves I realize that the blood smeared on one side of his face is not his own. His comrades troop past the door, and one of them is holding a large wadded cloth against a bloody head wound.
It’s near midnight on a weeknight in December, and we are in the Emergency Department of the Lanzhou #1 Hospital. The room is filled with battered furniture and cabinets where medical supplies are sorted in dollar-store plastic bins. A wastebasket near the door overflows with used swabs and dressings, tracked about as people come and go. A stray adhesive EKG electrode has been stuck to the window frame.
My friend has a high fever and respiratory symptoms, and will soon be admitted for treatment. She is vomiting into the wastebasket she’s brought with her, and I’m stroking her head gently with my fingertips. When I take the wastebasket out into the corridor to find the "washing room," the girl with the broken leg has mercifully been whisked away, ideally to pain relief and speedy treatment. The man with the head injury is leaning against the corridor wall, surrounded by a cluster of supporters, perhaps family , friends, co-workers. I do my best to avoid stepping in what I take to be his blood on the floor of the corridor, clumped and spattered here and there.
When blood tests finally confirm a diagnosis we don’t have the language to understand, my friend, too, is whisked away. Swathed in blankets and a scarf, she is wheeled out into the 20 degree F. night and up a ramp to an adjacent building. There’s a delay while someone is found who knows where to find the light switch in the elevator, so we need not ride up in the claustrophobic darkness. Our ascent takes us to the respiratory unit, where my friend joins three other sufferers in a small room. One is an elderly woman, another a middle aged woman, the third a young teen whose mother is curled up in bed with her. The beds are iron cots, each with a rack underneath for the patient’s washbasin, brought by herself. Shared night stands are a place to store personal belongings and, most importantly, food. In China, the hospital provides medical care. The patient is expected to supply her own nightclothes, personal items, and meals. Although by now it’s nearly 1 A.M., the ceiling light is blazing and the patients are wide awake and full of curiosity over the strange foreigner who is about to become their bunkmate. When my friend is settled on her cot, and I know her co-teacher will stay the night, I leave and take a cab home.
The next day, it takes me quite a while to find my friend. She has been transferred to the first available semi-private room. It is in a distant wing of the hospital – it seems like a distant wing of the universe from her room last night. It’s as if she has gotten off the #124 bus and boarded . . . well, the #109, off peak. This is like a state-of-the-art 1950's hospital room in the U.S., with an adjustable hand-cranked bed, a wardrobe, and even a telephone and TV set! She still needs her friends to bring her three meals a day, but she can take calls from her family in the U.S., and some of the nurses speak a little English. Here she receives her four "bottles" a day – intravenous infusions that are the preferred method of medicine delivery in China. She also takes dozens of pills every day, but is never able to get clear answers about her diagnosis or her treatment. The fever is soon gone; the frustration is chronic.
My friend was released after 8 days in the hospital, during which time she was allowed to go home twice for a few hours to gather belongings. She disobeyed doctors’ orders and took a shower each time; there are no facilities at the hospital (only hall toilets shared by many) and apparently bathing is contraindicated. She never did get a clear statement of her diagnosis. She will travel to Nanjing in a few weeks to be checked by a western physician with whom she can communicate freely and directly.
I can’t stop thinking about the three other patients in my friend’s first hospital room, and the man with the head wound, and the young woman with the broken leg. What they all have in common with my friend is that they were being cared for in the #1 hospital of a provincial capital city. The best facility for many kilometers in any direction. They are the
lucky ones.